Rodney D Grant (NPI# 1407823024, PAC ID# 5092859272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1407823024 |
| PAC ID by PECOS | 5092859272 |
| Professional Enrollment ID | I20100225000911 |
| Full Name | Rodney D Grant |
| Organization Legal Name | FOUR STATES ANESTHESIA SERVICES LLC |
| Address |
1905 W 32nd St Suite 201 Joplin MO 64804-3017 |
| Phone Number | 4172067900 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8729973284 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170203 | PREMIER SURGICAL INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 1619, K66, Galena, KS 66739-4306 | 6207831732 | FOUR STATES ANESTHESIA SERVICES LLC |
| 444 Four States Dr, Suite 2, Galena, KS 66739-4325 | 6207834000 | FOUR STATES ANESTHESIA SERVICES LLC |
| 1905 W 32nd St, Suite 201, Joplin, MO 64804-3017 | 4172067900 | FOUR STATES ANESTHESIA SERVICES LLC |
| Organization Legal Name | FOUR STATES ANESTHESIA SERVICES LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don D Enyart | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Danielle R Davidson | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 444 Four States Dr, Suite 2, Galena, KS 66739-4325 |
| Karen L Sapp | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Terri S Tracy | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 444 Four States Dr, Suite 2, Galena, KS 66739-4325 |
| Keanon S Walker | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1905 W 32nd St, Suite 201, Joplin, MO 64804-3017 |
| Robert A Coats | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1905 W 32nd St, Suite 201, Joplin, MO 64804-3017 |
| Buffy L Bunce | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Nancy Stultz | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1619, K66, Galena, KS 66739-4306 |
| Street Address |
1905 W 32ND ST SUITE 201 |
| City | JOPLIN |
| State | MO |
| Zip | 64804-3017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Osborn | Ophthalmology | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Chad L Carter | Optometry | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Sheila A Hart | Nurse Practitioner | Ozark Center | 1905 W 32nd St, Joplin, MO 64804-1529 |
| Laurie L Behm | Physical Medicine and Rehabilitation | Freeman-oak Hill Health System | 1905 W 32nd St, Suite 403, Joplin, MO 64804-1501 |
| Troy R Damour | Family Medicine | 1905 W 32nd St, Suite 303, Joplin, MO 64804-1512 | |
| Roger H Schoenfeld | Urology | 1905 W 32nd St, Suite 302, Joplin, MO 64804-1512 | |
| Keanon S Walker | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1905 W 32nd St, Suite 201, Joplin, MO 64804-3017 |
| Hugh L Lacey | Obstetrics/gynecology | 1905 W 32nd St, Suite 306, Joplin, MO 64804-1512 | |
| Robert A Coats | Certified Registered Nurse Anesthetist (crna) | Four States Anesthesia Services LLC | 1905 W 32nd St, Suite 201, Joplin, MO 64804-3017 |
| Lucas Theodore Lenci | Ophthalmology | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Whisman | Psychologist, Clinical | 3405 S Hammons Blvd, Kevin M Whisman Psyd, Joplin, MO 64804 | |
| Matthew Richins | Podiatry | 2024 S Maiden Ln, Suite 201, Joplin, MO 64804-0319 | |
| Samuel R Carter | Internal Medicine | 2024 S Maiden Ln, Suite 203, Joplin, MO 64804-0319 | |
| Valerie J Fleming | Nurse Practitioner | 2024 S Maiden Ln, Joplin, MO 64804-0319 | |
| Kathleen Lacey | Psychologist, Clinical | 1730 S Jackson Ave, Joplin, MO 64804-0555 | |
| Kim Wright | Clinical Social Worker | Renewed Mental Health LLC | 1530 S Main St, Joplin, MO 64804-0750 |
| Kimberly A Wood | Internal Medicine | 2615 E 20th St, Joplin, MO 64804-1039 | |
| Kevin M Gardner | Optometry | 1701 W 26th St, Joplin, MO 64804-1513 | |
| Valarie L Ikerd | Podiatry | 1617 W 26th St, Suite A, Joplin, MO 64804-1513 | |
| Jeffrey L Haste | Podiatry | 1617 W 26th St, Suite A, Joplin, MO 64804-1513 | |
| Find all physicians in zip 64804 | |||
| City | JOPLIN |
| Zip Code | 64804 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JOPLIN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Rodney D Grant.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.